TY - JOUR
T1 - Long-lasting subclinical Addison's disease
AU - Torrejón, S.
AU - Webb, S. M.
AU - Rodríguez-Espinosa, J.
AU - Martínez De Osaba, M. J.
AU - Corcoy, R.
PY - 2007/9/1
Y1 - 2007/9/1
N2 - Objective: To report a patient with autoimmune adrenal disease and increased ACTH with longstanding hyperpigmentation as an isolated symptom. Methods: A 49-year-old woman requested a diagnostic work-up for hyperpigmentation initiated 9 years before, associated with increased ACTH. She was receiving replacement therapy for autoimmune hypothyroidism. Basal and dynamic tests of glucocorticoid axis, basal investigation of mineralocorticoid axis and measurement of organ specific autoantibodies were performed. Results: Plasma ACTH (143 pmol/l; normal < 13.2 pmol/l)and antibodies against 21-hydroxylase (115 UI/ml; normal <1) were remarkably high, thyroid peroxidase and parietal cell antibodies were positive at low titter and all additional tests were normal. Conclusion: Autoimmune adrenal disease can have a very long preclinical period even with high concomitant ACTH and specific antibody titers. © J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart.
AB - Objective: To report a patient with autoimmune adrenal disease and increased ACTH with longstanding hyperpigmentation as an isolated symptom. Methods: A 49-year-old woman requested a diagnostic work-up for hyperpigmentation initiated 9 years before, associated with increased ACTH. She was receiving replacement therapy for autoimmune hypothyroidism. Basal and dynamic tests of glucocorticoid axis, basal investigation of mineralocorticoid axis and measurement of organ specific autoantibodies were performed. Results: Plasma ACTH (143 pmol/l; normal < 13.2 pmol/l)and antibodies against 21-hydroxylase (115 UI/ml; normal <1) were remarkably high, thyroid peroxidase and parietal cell antibodies were positive at low titter and all additional tests were normal. Conclusion: Autoimmune adrenal disease can have a very long preclinical period even with high concomitant ACTH and specific antibody titers. © J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart.
KW - Antibodies
KW - Autoimmunity
KW - Hormones
U2 - https://doi.org/10.1055/s-2007-973077
DO - https://doi.org/10.1055/s-2007-973077
M3 - Article
SN - 0947-7349
VL - 115
SP - 530
EP - 532
JO - Experimental and Clinical Endocrinology and Diabetes
JF - Experimental and Clinical Endocrinology and Diabetes
ER -